Individual provider Active NPI

Sean Hagedorn, DO

  • Student in an Organized Health Care Education/Training Program
  • Nashville, TN
National Provider Identifier
1457153298
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
510 Recovery Rd Ste 257
Nashville, TN 37211-4874
Phone
(615) 781-4430
NPI assigned
Mar 25, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

510 Recovery Rd Ste 257
Nashville, TN 37211-4874

Mailing address

510 Recovery Rd Ste 257
Nashville, TN 37211-4874
Phone (615) 781-4430

Other practice location 1

510 Recovery Rd Ste 257
Nashville, TN 37211-4874
Phone (615) 781-4430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250626000247 TN Order and Referring Only - Family PracticePractitioner - Family Practice 5092227843

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Interoperability endpoints

  • Direct secure messaging: sean.hagedorn@hca1.eclinicaldirectplus.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1742860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1457153298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 RECOVERY RD STE 257",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114874",
            "telephone_number": "615-781-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 RECOVERY RD STE 257",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114874",
            "telephone_number": "615-781-4430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 Recovery Rd Ste 257",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372114874",
            "country_code": "US",
            "telephone_number": "615-781-4430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAGEDORN",
        "first_name": "SEAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-25",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.